Individual provider Active NPI

Toby Mary Long, PHD, PT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1386845295
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT469 Issued in DC
Practice address
Georgetown University
3300 Whitehaven St
Washington, DC 20057-1485
Phone
(202) 687-8742
Fax
(202) 687-8899
NPI assigned
May 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT469 DC Primary

Addresses

Primary practice location

Georgetown University
3300 Whitehaven St
Washington, DC 20057-1485

Mailing address

5611 Ontario Cir
Bethesda, MD 20816-2461
Phone (301) 229-3018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PT469DCMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386845295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 ONTARIO CIR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162461",
            "telephone_number": "301-229-3018",
            "fax_number": "202-687-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GEORGETOWN UNIVERSITY",
            "address_2": "3300 WHITEHAVEN ST",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200571485",
            "telephone_number": "202-687-8742",
            "fax_number": "202-687-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "TOBY",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PHD, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.